HomeMy WebLinkAbout8x12 Room Extension 1976 TOWN OF MONTVILLE
Public Works Building Department N° 2152
Application for Building Permit
Permit No. Date Vi 9/'7 E,
Estimated Cost .. /.O 0 O . °s Fee Cn f s Q
Owner .../9/e.h.ev / Za t...e.0...(.O Address / ....'•v% / i c
Contractore. ' Address
Location of Building !'Y�Z PA-f2/C /9-cf L Xl.
Zone R U Plan. Comm. Approved v
Nature of Proposed Work A.o.0'n... , ;X. t: ,V d';en!
New Building—Type of Construction - .Q.4G(
Type of Heat .. .lti/
Size
Fireplace
No. of Stories
Breezeway —
No. of Rooms ! Acc. Building
Garage
No. of Baths —' Full Basement .../.Y.o
/� Crawl Space Size —
Proposed Use ....114 ecK ..c{ 6441$C1. W„
All Plumbing and Electric Wiring to be Inspected before covering. FXttin f4tfr:4_ P/I`
All the requirements of the Town of Montville Building Code Zoning Ordinance, and State and Laws and
Ordinances in so far as they apply to the design, erection and location of the building described in heown forego'ng ap-
plication will be strictly complied with.
I hereby certify that all statements here contained are true and correct.
I hereby apply for a Certificate of Occupancy for above described structure.
Signed Date /i 9/?
Signed " �� Building Inspector c
'�'' Approved d4
Date Disapproved
Indicate plot plan in space below, showing streets, lot lines, building lines, present and proposed buildings, di-
mensions of same and distances from lot and building lines, and dimensions of courts and yards. If any present struc-
ture is to be removed, so indicate.
rsu4 rQ O
I
ran
Sr Ce
TRUCTURE k